Treating Hip Injuries; Responsibilities of a Team Physician; Healing Muscle Soreness

Episode 17.08 with Hosts Steve Kashul and Dr. Brian Cole. Broadcasting on ESPN Chicago 1000 WMVP-AM Radio, Saturdays from 8:30 to 9:00 AM/c.new host image


Segment One (02:10): Dr. Shane Nho from Midwest Orthopaedics at Rush discusses hipImage result for femoral acetabular impingement injuries including FAI (Femoroacetabular impingement).  FAI is a condition of too much friction in the hip joint.  Basically, the ball (femoral head) and socket (acetabulum) rub abnormally creating damage to the hip joint.

The damage can occur to the articular cartilage (smooth white surface of the ball or socket) or the labral cartilage (soft tissue bumper of the socket).Most patients can be diagnosed with a good history, physical exam, and plain x-ray films.  A patient’s history will generally involve complaints of hip pain (front, side, or back) and loss of hip motion.

shane nho mdDr. Nho completed his surgical internship at New York Presbyterian Hospital of Weill Cornell Medical College and a residency in orthopedic surgery at the Hospital for Special Surgery in New York. He returned to the Chicago area to complete a fellowship in sports medicine at Rush University Medical Center.

He was the recipient of the Herodicus Society Traveling Fellowship and has trained with hip arthroscopists and hip joint preservation surgeons from the United States and Switzerland. He has a specific interest in the arthroscopic treatment of athletic hip injuries, hip joint preservation surgery for femoroacetabular impingement (FAI), hip labral repairs, shoulder instability, rotator cuff repair, and knee arthroscopy. More…


Segment Two (13:44): Steve talks with Dr. Nikhil Verma from Midwest Orthopaedics at Rush about his responsibilities and experience as the head team physician for the Chicago White Sox. Thanks to Dr. Verma for filling in for Dr. Cole as co-host on this episode.nikhil verma

Dr. Verma is Professor and Director, Division of Sports Medicine, Fellowship Director, Sports Medicine, Department of Orthopedics, Rush University Medical Center. Dr. Verma specializes in treatment of the shoulder, elbow and knee with an emphasis on advanced arthroscopic reconstructive techniques of the shoulder, shoulder replacement, knee ligament reconstruction and articular cartilage reconstruction and meniscal transplantation.

A graduate of the University of Pennsylvania School of Medicine, Dr. Verma completed his orthopedic residency at Rush-Presbyterian-St. Luke’s Medical Center. He then completed a fellowship at the Hospital for Special Surgery in sports medicine and shoulder surgery. While in New York, he served as an assistant team physician for the St. John’s University Athletic Department. He also received specialized training in treatment of shoulder and elbow disorders in the overhead throwing athlete. More…


Segment Three (22:01): Jon Duncombe, PT, DPT, MSPT, OCS, CIMT, CSCS, GCS from ATI Physical Therapy discusses healing muscle soreness. John received his Master’s of Physical Therapy degree from the University of Wisconsin – Madison in 2001, has obtained his Doctorate in Physical Therapy through the Evidence in Motion Institute of Health Professions (EIM) and has also finished a 2 year Orthopedic Residency program with EIM. He is board certified as an Orthopedic Clinical Specialist from the American Physical Therapy Association.

While at the University of Wisconsin he became a Certified Strength and Conditioning Specialist with the National Strength and Conditioning Association as well as a Golf Conditioning Specialist. John treats a vast array of outpatient orthopedic dysfunctions, looking at a wide variety of structures, tissues, and systems that may be contributing to the source of symptoms.

His special interests are in post surgical shoulder and knee patients as well as cervical-thoracic injuries. John works for ATI Physical Therapy in the northern suburbs outside of Chicago, where he serves on their Education Advisory Board, is chairman of the ATI Spine Education Committee, and also serves as a Mentor Leader for current EIM Doctoral and Residency students.


When Healthy Becomes a Dangerous Obsession: Exploring Orthorexia

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We’re all familiar with the term ‘clean eating’ and know how important it is to eat the right foods in the right balance, no matter what our eating regime or diet plan is. But what if this turns into an obsession that becomes out of control? Experts are now seeing a distinct rise in the number of people suffering from a condition called Orthorexia Nervosa and with it, a fixation on so called ‘self-righteous eating’.

Exploring Orthorexia

Someone with this condition will become obsessed with the quality and purity of their food, they may avoid eating out, or anything that anyone else other than themselves has touched.

Whatever diet plan or eating regime you’re following, whether young or old, getting the right balance of nutrients is important in maintaining good health for everyone.

However, the Orthorexia sufferer will go the opposite way and become very restricted in the types of foods they will eat – often turning to a raw food diet, or one that restricts many forms of good quality proteins and micronutrients needed for healthy living. Jordan Younger, blogger and founder of ‘The Balanced Blonde’ was one such sufferer, whose vegan diet became so restrictive that her periods stopped and she became fearful of eating anything with protein in it, calling eggs her ‘fear food’.

The Orthorexic Diet

As we’ve seen, despite their obsession with health and clean living, the diet of the Orthorexic can be very lacking. The condition also spills out into other areas of life too, meaning that the sufferer may become very socially isolated, withdrawn or depressed. As their obsession increases, their physical health will suffer too, with women reporting that their periods cease, their hair starts to fall out and their teeth and nails become brittle and break easily.

Side Effects of the Condition

Sufferers may end up unaware or unable to identify any of their own physical feelings towards food:

  • They may not recognize when they are hungry
  • They may not recognize when they are full
  • If they fall off the wagon and eat anything they consider to be impure, their urges to become stricter in only eating pure food will grow stronger

Treatment

Treatment for more severe cases of the condition can involve inpatient therapy and counseling, combined with anti-anxiety medications and an eating plan that will slowly reintroduce missing nutrients, proteins and minerals into the diet that have previously been cut out. It’s a highly treatable illness that has a good recovery rate.

Contributed by Jess Walter, Freelance Writer

5 ways to fuel up for exercise

By ATIPT

work_out_imageWater, sports drinks, energy chews, protein bars, recovery shakes, bananas, carbohydrates – which should you put in your body before a workout? What about after? Which help aid weight loss? Which help aid muscle building?

We know there’s a lot to take in. That’s why our athletic trainer Jessica Thompson weighed in with these five tips for fueling up for exercise…

  1. Water is the way to go during a workout: During an actual workout or game, water is the way to go. It helps replenish and hydrate you throughout your exercise session.
  2. Save your sports drinks for before or after your sweat session: Studies have shown that the nutrients in sports drinks aren’t absorbed in your system right away, says Jessica. Therefore, use it before or after a workout when your body has time to absorb the nutrients and properly replenish.
  3. Power through strength training with protein: Hitting the gym to lift weights and do some strength training? Try to eat about 90 minutes before your workout. The pre-workout snack should consist of a protein or energy bar and some fruit, Jessica says. Protein helps you build muscle and fruit contains natural sugars to give you an energy boost.
  4. Kill your cardio workout with carbs: Ramping up for a cardio workout? Be sure to get some carbohydrates before your workout. A small meal of whole grain carbohydrates (like wheat bread or crackers) along with fruit can help you power through a cardio workout and give you the energy you need.
  5. Carbohydrates key after a workout: When recovering from a workout, it’s important to replenish yourself with plenty of carbohydrates and some proteins within 30 minutes of finishing. With its mix of carbs and protein, chocolate milk is a great recovery food. And, even though you just worked out, it’s important to avoid anything with a lot of fat, says Jessica. Your body needs nutrients after exerting itself, and that’s not something fatty foods can typically provide.

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Stay Healthy During the Holidays

By Karen Malkin

holiday-healthHoliday season can be challenging when it comes to holding onto the healthy lifestyle habits you’ve worked so hard to cultivate throughout the year. But it doesn’t have to be that way! There are small things you can do each day through the holidays and in January to help maintain your healthy ways.

If you’re someone who works better when you have a goal to stick to, you’ll love this—here’s a Mini-Challenge you can do to help you stay on track this holiday season. Just follow these 5 simple steps and you’ll feel energized and healthy despite all of the temptation in your path.

1. Drink hot water + lemon first thing in the morning

  • Improved digestion: Lemon juice flushes unwanted materials and toxins from your body. Hydrating also helps curb cravings.
  • Balanced pH: Lemons are one of the most alkalizing foods for your body; disease states only occur when your body pH is acidic.
  • Boosts immunity: Warm water and lemon juice supports the immune system by hydrating and replacing fluids lost by your body. When your body is deprived of water, you quickly feel the side effects  feeling tired, sluggish, constipation, lack of mental clarity, feeling stressed, etc. Lemons are high in vitamin C, potassium, and have anti-inflammatory and antimicrobial properties.

2. Eat 3 meals and 1 snack

It’s important to keep your blood sugar stable throughout the day; otherwise, you’ll end up looking for the easiest (and not necessarily the healthiest) choice when your levels drop. Do this by eating three nutritionally balanced meals and one whole-food snack every day. This allows you to burn your own body fat between meals.

3. Drink ½ your body weight in water

This will help keep you feeling full and satiated throughout the day and help kepp your cells hydrated. By drinking filtered water, you’ll also help your body flush toxins in your system.

4. Enjoy cocktails or treats on the weekends only

Remember: food is love, food is celebration, and during the holidays, you’re surrounding yourself with all of that, so give yourself permission to indulge! On the weekends, allow yourself 2 cocktails and/or 2 treats (or 1 cocktail and 1 treat) at festive celebrations.

5. Eat 5–9 servings of fruits and vegetables daily

Load up on colorful, organic, seasonal fruits and veggies whenever possible, aiming for at least 5 servings per day or 4 1/2 cups, mostly veggies. This will provide your body with lots of fiber to keep you feeling full plus a complete range of phytonutrients to keepkaren you feeling your best.

Whether you indulge or maintain your healthy habits this holiday season, my wish is
that you experience great joy and peace. I look forward to reconnecting in the New Year!

Happy, healthy 2017!

Karen